Q9963 HCPCS - HIGH OSMOLAR CONTRAST MATERIAL, 350-399 MG/ML IODINE CONCENTRATION, PER ML

Code Information

HCPCS Code: Q9963
Sequence Number: 0010
Short Description: Hocm 350-399mg/ml iodine,1ml
Long Description: High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml
Date Added: 7/1/2005
Action Code: N - No maintenance for this code
Action Effective Date: 7/1/2005
Classification: Temporary Codes
Coding System: HCPCS

Pricing Indicator Code:
- 51 - Drugs
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
- 15022
Coverage Code: D - Special coverage instructions apply

Field Name	Field Value
Healthcare Common Procedure Coding System Code	Q9963
HCPCS Sequence Number	0010
HCPCS Record Identification Code	3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description	High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml
HCPCS Short Description	Hocm 350-399mg/ml iodine,1ml
HCPCS Pricing Indicator Code 1	51 - Drugs
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Medicare Carriers Manual Reference Section Number 1	15022
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Berenson-Eggers Type Of Service Code	I1E - Standard imaging - nuclear medicine
HCPCS Type Of Service Code 1	4 - Diagnostic radiology
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	7/1/2005
HCPCS Action Effective Date	7/1/2005
HCPCS Action Code	N - No maintenance for this code